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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PARK DENTAL GROUP LLC
NPI 1508778168
Dentist - General Practice in Lincoln Park, MI

Active since September 18, 2026
1880 EMMONS BLVD, LINCOLN PARK, MI 48146(313) 388-8444 Get Directions Write a Review

NPPES record added: September 18, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Park Dental Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARK DENTAL GROUP LLC (NPI 1508778168) is a healthcare organization registered as a general practice in Lincoln Park, Michigan and active in the NPI registry since September 2026. The organization lists Mohamad Bazzi, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1508778168
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePARK DENTAL GROUP LLC
Location Address1880 EMMONS BLVDLincoln Park, MI 48146-3866
Mailing Address1880 Emmons BlvdLincoln Park, MI 48146-3866 · (313) 388-8444
Phone(313) 388-8444
Organization SubpartNo
Authorized OfficialMohamad BazziOwner/dentist · (313) 587-3947
Enumeration DateSeptember 18, 2026
NPPES CertifiedSeptember 18, 2026
✔ NPI 1508778168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1880 EMMONS BLVD, Lincoln Park, MI 48146
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRIME DENTISTRY LINCOLN PARK
Dentist (General Practice)
1880 EMMONS BLVD
LINCOLN PARK, MI 48146
Wayne County (313) 388-8444
DR. JOSEPH ARTHUR PADESKY D.D.S.
Dentist (General Practice)
1880 EMMONS BLVD
LINCOLN PARK, MI 48146
Wayne County (313) 388-8444
JOSEPH A PADESKY, D.D.S., PC
Clinic/Center (Dental)
1880 EMMONS BLVD
LINCOLN PARK, MI 48146
Wayne County (313) 388-8444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Park Dental Group LLC's NPI number?

The NPI number for Park Dental Group LLC is 1508778168. It was assigned to this organization in the NPPES registry on September 18, 2026.

Where is Park Dental Group LLC located?

Park Dental Group LLC is located at 1880 Emmons Blvd, Lincoln Park, MI 48146. The listed phone number is (313) 388-8444.

What is Park Dental Group LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Park Dental Group LLC was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.